Fillable Sabbatical Leave Evaluation Form Candidate meets eligibility requirements: (Boise State University)

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Sabbatical Leave Evaluation Form Candidate meets eligibility requirements: (Boise State University)

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Rev. 11.2019
Sabbatical Leave Evaluation Form
Applicant Name: Department:
Title: Date of Tenure Award:
Date of initial appointment as an official faculty member:
Dates of previous sabbatical leave(s) and leave(s) without pay:
Candidate meets eligibility requirements: Yes No
Period of sabbatical leave covered by application: FA20 SP21 AY20 - 21
Required Application Materials: Included Not Included
• Abstract (>50 words): ☐ ☐
• Detailed Statement of Leave Plans: ☐ ☐
(Goals, objectives, & methodology used)
• List of Affiliate Organizations: ☐ ☐
• Timeline/calendar of activities ☐ ☐
• Funding and alternate plan (if applicable) ☐ ☐
• Statement of anticipated outcomes ☐ ☐
• Supporting Bibliography ☐ ☐
• Two Peer Review Letters (one off campus): ☐ ☐
• Curriculum Vitae (max 6 pages): ☐ ☐
• Chair Evaluation Letter: ☐ ☐
• Statement of Intention to Return to BSU: ☐ ☐
• Dean Approval/Signature: ☐ ☐
• Chair Approval/Signature: ☐ ☐
Instructional Replacement Costs Requested:
Rev. 11.2019
Evaluation
Check mark whether the applicant satisfied each component
Satisfied Incomplete
1. Application properly formatted ☐ ☐
2. Adequacy of description and goals ☐ ☐
3. Timetables and availability of materials ☐ ☐
4. Ability of individual to compete the project: ☐ ☐
Background, previous experience, personal bibliography
5. Value of the project is identified, with regards to:
a. To students ☐ ☐
b. To University ☐ ☐
c. The community ☐ ☐
6. Letters of Evaluation:
Note: At least one letter must come from off campus.
If applicable, a letter from the affiliated organization
specifying the nature of the arrangement must be included
(if this letter is used as affiliate support, it must meet
the requirements specified in II.C.4)
a. Peer one ☐ ☐
b. Peer two ☐ ☐
c. Department Head/Chair ☐ ☐
(or Dean if applicant is Chair)
7. Availability of funding ☐ ☐
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Sabbatical Leave Evaluation Form Candidate meets eligibility requirements: (Boise State University)

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Completed 17 August 2020

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